OB- pre term/post partum

Question 1

define preterm labour?

Answer 1

• regular uterine contractions that cause progressive dialation of the cervix before 37 weeks gestation

Question 2

main complications of preterm labour?

Answer 2

• prematurity

- associated neonatal complications

Question 3

what can cause preterm labour?

Answer 3

Fetal maturity is indicated
Fetal demise
Fetal anomaly incompatible with life
Fetal distress
Active bleeding associated with moderate or severe placental abruption or placenta Previa
Chorioamnionitis
Severe preeclampsia

Question 4

what is chorioamnionitis?

Answer 4

maternal infection that affects the placenta and the membranes that surround the growing baby

Question 5

what can a pregnant women get chorioamnionitis?

Answer 5

when bacteria move upward through her vagina and into her uterus

Question 6

mismanaged chorioamnionitis can cause what?

Answer 6

• neonatal infection
• preterm labor
• HIE
• cerebral palsy
• periventricular leukomalacia
• and injuries

Question 7

pertem labour cervical length and funneling of internal os?

Answer 7

cervical length: <25 mm

Funneling: >5mm before 30 weeks

Question 8

preterm labour U/S is helpful to assess what?

Answer 8

• Biophysical profile (fetal well being, amniotic fluid volume)
• estimated fetal weight
• cervical length
• established GA
• fetal anomalies and IUGR
• placental abruption or placenta previa

Question 9

postpartum complications include? (7)

Answer 9

• uterine bleeding
• uterine atony
• lacerations
• retained placental fragments
• inversion of uterus
• placenta accreta
• uterine infection

Question 10

what is uterine atony?

Answer 10

a loss of tone in the uterine musculature

Question 11

what are 75-80% of postpartum hemorrhages due to?

Answer 11

uterine atony

Question 12

What is uterine entrapment syndrome?

Answer 12

• acute problem of early pregnancy due to pelvic entrapment of a retroverted or retroflexed uterus

Question 13

Uterine entrapment syndrome location of fundus?

Answer 13

directed posteriorly and inferiorly

- gets trapped in the pelvis

Question 14

symptoms of uterine entrapment syndrome?

Answer 14

• pelvic pain, back ache
• defection is painful
• urethra is compressed and elongated causing urinary frequency and infection